FAQs
Can I add online courses to my resume?
Your premier platform for all things nursing assistant - videos, practice exams, study tools, and more! Involved in testing QNXT Member, Provider, Claims Processing, Utilization Management, Accumulators, Contracts and Benefits with proper ICD - 9 and ICD - 10 and HCPCS/CPT codes. Involved in manual claims Adjudication process. Creating, Approving and Modifying PA in both Portal and QNXT.
Listing online classes on your resume is a definite do. Just make sure you do it thoughtfully so you're sending the right message about your continuing education. After all, you worked hard to complete all these courses in your free time, you owe it to yourself to make sure they count.
How do I prepare for an online class?
You need a reliable internet connection to participate in online courses. Many programs will tell you the requirements you need to succeed in their courses, but make sure to consider if other people in your household will use the internet at the same time. Online classes often require streaming videos or uploading content, so make sure you have the necessary speed and signal reliability to participate without interruption.
What is the best site for free online courses?
There are many online education websites that offer academic courses for a fraction of the cost of traditional colleges and universities, making them ideal for lifelong learners. Coursef.com offers thousands of online courses for students and life-long learners, you can also find many free courses as well.
Is online study good or bad?
Online schooling is a good option if you do good time management and follow a well prepared time table. Consider it as a great opportunity to learn more and learn better! As we all know excess of everything is bad. Everything has a limit if u doing it in efficient and effective manner.
Facets Testing explained
FacetsTesting is not one of the testing types. But it is purely and most of the time,a type of manual testing which is done on Facets tool that is being used forclaims processing and other healthcare insurance company day to day activitiesare done.
Theseare Typical healthcare manual testing/ tester roles and responsibilitiesespecially in FACETS application in healthcare industry.
·Participatedin requirements meetings to understand the requirements from business people.
·PreparedTest cases and Test scripts from the requirements and Functional, Technicalspecifications.
·Validatedmember eligibility and eligibility inquiry in the facets application to thelegacy application in order to confirm the migration successful or not.
·Experiencein Medical, Pharmacy Plan changes from one plan to other plan with in Group,subgroup, class combinations.
·Experiencewith COB (coordination of benefits) application with in facets, testing ofclaims status for selected subscribers.
·Writingtest cases and test scripts in MS Excel Manually and uploading in Qualitycenter.
·Wellexperienced in benefit coding of different products for various plans of BCBSsuch as Blue preferred, Blue exchange etc..
·Calculatingco-pay, coinsurance, adding single tier, multi tier for different products within a plan.
·Comparingplan and product details in medical module, and reviewing the benefit summaryand feeding them into pivot tables with appropriate co-pay and coinsurance andvalid comments for various codes of vision, maternity etc..
·Testdata entry into FACETS4.7 application in the test environment for creatinggroups, subscribers and family members.
·Experiencein creating new groups, subgroups, subscribers as and when needed which islater used as a test data for testing purpose.
·Experiencein System testing and UAT testing of the facets core application and custommodules as needed.
·Claimsvalidation in Facets application which includes claims pending status, memberstatus, etc..
Facets Claims Processing User Guide
·Creatingtest cases, test scripts for various modules, and uploading them into qualitycenter.
·Traceabilitymatrix of test cases to corresponding requirements.
Facets Claims Processing User Guide
·Runningthe test cases and it scripts and executing them thoroughly with pass/failstatus.
·Enteringdefects for failed test cases and assign the defects to appropriate developers.
·Regressiontesting of the application once the defects are fixed and passing the testcases.
Facets Claims System
Insimple words, Facets testing is not really much different than other types oftesting except the fact that the domian knowledge in healthcare industry is amust and familiarity on facets tool is necessary.
Majorapplications with in the Facets testing that you need to learn /know beforeinterview is, Claims processing, hospital, claims, physician claims, membersubscriber inquiry etc..
Facets Claims Processing System Manually
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